Bottom Line: The opioid epidemic has led many leading medical groups to emphasize the importance of conservative care for low back and neck pain. The world’s largest medical society, the American College of Physicians, updated its low back treatment guide in 2017 to support conservative options, such as Chiropractic care. The guidelines were published in the prestigious Annals of Internal Medicine and have been adopted by many leading healthcare organizations.
Why it Matters: Medical guidelines are now emphasizing the patients should only move to take Ibuprofen or muscle relaxants if other conservative options aren’t helping. New research has shown that medications such as acetaminophen are not very good at providing relief, and in many cases, aren’t even as effective as a placebo.
– The Agency for Health Care Research and Quality recommended spinal adjustments as the only safe, effective, and drugless initial treatment for back pain.
– A new article in the American Medical Association suggests Chiropractic as the preferred option for people with back pain. – SPINE found nearly 75% of patients had significant improvement in their back pain with chiropractic care, compared to only 17% who had medical care alone.
Next Steps: Now more than ever, medical doctors and Chiropractors are working together to help patients get well and stay well. For over 100 years, Chiropractors have been focused on providing effective, safe, and natural healthcare solutions. Due to the risks and dangers of surgery and medications, the medical community has finally begun to support options such as Chiropractic that take a patient-first approach to care.
Science Source(s): Adding Chiropractic Manipulative Therapy to Standard Medical Care for Patients with Acute Low Back Pain: The Results of a Pragmatic Randomized Comparative Effectiveness Study! SPINE Volume 38, Number 8: 627-634 @2013 Acute Low Back Problems in Adults. Clinical Practice Guideline No.14. AHCPR Publication No. 95-0642 Low Back Pain. JAMA. 2013; 309(16):1738
If you’ve suffered from pain in your arm or leg, it could be caused by a spinal disc pressing on one of your nerves. If a medical doctor recognizes a pinched nerve on your MRI, they might refer you for a spinal injection. While this seems like a normal process, new research has begun to show that spinal injections aren’t very effective at treating back pain, and the risks may far outweigh the rewards. Keep reading to discover a better path towards relief.
Why it Matters:
Spinal injections often can’t provide long term relief because they don’t address the cause of the pain: your pinched nerve. Reducing compression and opening space for the nerve is a better strategy. Chiropractic care can help improve the motion of your spine and decrease the irritation on your spinal nerves that causes pain. New research has found that chiropractic adjustments can provide more relief than injections, without any of the associated risks.
- – Spinal injections have been shown to be ineffective at providing relief for low back pain.
- – Chiropractic can offer more relief than spinal injections for people with lumbar disc herniations according to a paper published in JMPT.
- – One study found Chiropractic patients experiencing up to 60% relief, while another
discovered patients receiving spinal injections only reported 14% relief.
The research is clear: before getting a spinal injection, it’s a smart decision to explore Chiropractic. We believe your body has an incredible ability to heal itself. Medications mask the symptoms, but to find lasting relief- you need to address the cause. If a spinal disc issue is affecting the life of you or someone you know, give us a call at 507-345-1926 and get your life back! Or click here to request an appointment.
The Effectiveness and Risks of Fluoroscopically Guided Lumbar Interlaminar Epidural Steroid
Injections. Pain Science 2017
Interlaminar versus transforaminal epidural injections for the treatment of symptomatic lumbar intervertebral disc herniations. Pain Physician 2006
Symptomatic MRI-Confirmed Lumbar Disk Herniation Patients: A Comparative Effectiveness Prospective Observational Study of 2 Age- and Sex-Matched Cohorts Treated with Either High- Velocity, Low Amplitude Spinal Manipulative Therapy or Imaging-Guided Lumbar Nerve Root Injections. Journal of Manipulative and Physiological Therapeutics, 2013 May; 36(4):218-25
Shoulder pain or pain around the shoulder is very common after a car accident or work injury. The shoulder is considered an unstable joint which means that it has a tremendous range of motion but not much stability. The combination of fantastic mobility and limited stability makes it extremely susceptible to injuries as a result of an impact.
Why it Matters:
The shoulder is a ball and socket joint with 3 primary bones: the upper arm (humerus), collarbone (clavicle) and shoulder blade (scapula). These bones are held together with an intricate pattern of muscles, tendons, and ligaments. If your rotator cuff is injured, you may notice severe pain and limited range of motion. Left untreated, rotator cuff injuries can eventually result in a “frozen” shoulder, shoulder pain, and months worth of treatment to re-establish a full range of motion.
- Your shoulder is a mobile joint that is held together with a complex network of muscles, tendons, and ligaments.
- The incidence of whiplash + shoulder pain and injury after a crash is estimated to be nearly 22%.
- Holding onto the steering wheel during an accident can cause damage to the rotator cuff or initiate impingement syndromes, as can your seat belt.
Shoulder pain and injuries can sometimes mimic other injuries. Pain down into your arm due to nerve entrapment, or even referred pain up into your neck and head could be coming from your shoulder, as compression on the shoulder by a seat belt during an accident can injure the nerves that travel to your arm and hand. If your shoulder or arms feel restricted, sore, or painful after an accident, we recommend having it evaluated so you can get the proper care to start healing better, faster.
Injury mechanisms in supraclavicular stretch injuries of the brachial plexus. Hand Surgery and Rehabilitation. 2016. Whiplash injury of the shoulder: Is it a distinct clinical entity? 2005
The term whiplash is the term used to describe the injuries that result from a rapid back and forth motion of the neck. These injuries can occur during a car crash, sports accident, or during a slip and fall. The most common symptoms of a whiplash injury are neck pain, headaches, and radiating pain into the shoulders, arms, and hands.
Why it Matters:
Pain after whiplash happens when the delicate ligaments supporting your neck have been damaged, and new research indicates that even low-speed crashes can create the force necessary to cause pain and injury. Whiplash can also cause damage to your facet joints and spinal discs by stretching them beyond their normal range of motion. Depending on the type of accident, we may choose to take x-rays or an MRI of your neck to evaluate your injuries better.
- Over 1.5 million whiplash injuries occur each year, many from low impact collisions.
- Whiplash can cause neck pain and headaches due to injuries to the facet joints, spinal discs, ligaments, tendons, and muscles.
- Chiropractic adjustments and massage have been recommended at effective treatment for the management of neck pain after whiplash.
A stiff neck after an accident is a good clue that a whiplash injury may have occurred. Keep an eye out for swelling and bruising, which can take up to 24 hours to develop. In some cases, the partial tearing of the muscles, tendons, or ligaments around your spine can take several months to heal. Remember that getting an evaluation, and the proper care early on can help you reduce your pain and heal better and faster. Know that we’re here to support you on your road to recovery. Call 507-345-1926 today or
Are manual therapies, passive physical modalities, or acupuncture effective for the management of patients with whiplash-associated disorders or neck pain and associated disorders? An update of the Bone and Joint Decade Task Force on Neck Pain and Its Associated Disorders by the OPTIMa collaboration. December 2016. The Spine Journal. Neck Injury (Whiplash/Neck Sprain). National Health Service (UK). 2017. Human subject rear passenger symptom response to frontal car-to-car low-speed crash tests. Journal of Chiropractic Medicine. 2011.